Renz, Jeremy Jackson

Renz, Jeremy Jackson is an individual health care provider with primary practice located at 1821 S Webster Ave , Green Bay WI 54301-2253. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Renz, Jeremy Jackson can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
1821 S Webster Ave Green Bay WI 54301-2253
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0066106 Colorado
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 81579-21 Wisconsin

Profile Details

NPI number 1285121285
LBN Legal business name Renz, Jeremy Jackson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2018
Last updated Sep 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285121285 NPPES
Wisconsin MEDICAID 100288803

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